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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 582286 |
| Time | |
| Date | 200305 |
| Day | Wed |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | navaid : ptw.vortac |
| State Reference | PA |
| Altitude | msl single value : 12000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Dusk |
| Aircraft 1 | |
| Controlling Facilities | tracon : phl.tracon |
| Make Model Name | EMB ERJ 145 ER&LR |
| Operating Under FAR Part | Part 121 |
| Flight Phase | cruise : level |
| Flight Plan | IFR |
| Aircraft 2 | |
| Controlling Facilities | tracon : phl.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | Dash 8 Series Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : intermediate altitude |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : departure controller : approach |
| Qualification | controller : radar |
| Experience | controller military : 8 controller radar : 14 |
| ASRS Report | 582286 |
| Person 2 | |
| Affiliation | government : faa |
| Function | controller : supervisor |
| Events | |
| Anomaly | conflict : airborne critical non adherence : published procedure non adherence : required legal separation |
| Independent Detector | atc equipment : conflict alert atc equipment other atc equipment : radar mode c other controllera other flight crewa other flight crewb |
| Resolutory Action | none taken : detected after the fact |
| Consequence | faa : investigated Other |
| Miss Distance | horizontal : 6000 vertical : 300 |
| Supplementary | |
| Problem Areas | ATC Human Performance |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
I was working both aircraft to their departure fix. I was climbing one to 12000 ft (I thought 13000 ft), and switched his frequency. I then climbed the other aircraft to 12000 ft and switched his frequency, not realizing my mistake. Only after hearing the tapes did I realize my error. I reported the incident to my supervisor immediately. After investigating the next day, I was told that there was not a loss of separation, despite what I saw and reported. I was told that it could have been an altitude inconsistency or something else. I did not listen to the tapes, but was told by second level supervisor that I had climbed the E145 to 12000 ft, only I was told the investigation was complete. The following week after working the boards, on may/tue/03, I was told that there was a loss of separation, and an operational error had occurred. I do not know what action the center controller or pilots of the aircraft had to take. I do not know if usual separation was applied.
Original NASA ASRS Text
Title: PHL CTLR MISTAKENLY CLBS AN E145 TO AN OCCUPIED ALT, RESULTING IN AN OPERROR.
Narrative: I WAS WORKING BOTH ACFT TO THEIR DEP FIX. I WAS CLBING ONE TO 12000 FT (I THOUGHT 13000 FT), AND SWITCHED HIS FREQ. I THEN CLBED THE OTHER ACFT TO 12000 FT AND SWITCHED HIS FREQ, NOT REALIZING MY MISTAKE. ONLY AFTER HEARING THE TAPES DID I REALIZE MY ERROR. I RPTED THE INCIDENT TO MY SUPVR IMMEDIATELY. AFTER INVESTIGATING THE NEXT DAY, I WAS TOLD THAT THERE WAS NOT A LOSS OF SEPARATION, DESPITE WHAT I SAW AND RPTED. I WAS TOLD THAT IT COULD HAVE BEEN AN ALT INCONSISTENCY OR SOMETHING ELSE. I DID NOT LISTEN TO THE TAPES, BUT WAS TOLD BY SECOND LEVEL SUPVR THAT I HAD CLBED THE E145 TO 12000 FT, ONLY I WAS TOLD THE INVESTIGATION WAS COMPLETE. THE FOLLOWING WEEK AFTER WORKING THE BOARDS, ON MAY/TUE/03, I WAS TOLD THAT THERE WAS A LOSS OF SEPARATION, AND AN OPERROR HAD OCCURRED. I DO NOT KNOW WHAT ACTION THE CTR CTLR OR PLTS OF THE ACFT HAD TO TAKE. I DO NOT KNOW IF USUAL SEPARATION WAS APPLIED.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.